Active NPI
Mohtasham Shalikar
- Durable Medical Equipment & Medical Supplies
- Riverside, CA
National Provider Identifier
1851572952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 100945
- Practice address
- 10403 Magnolia Ave
Ste. a
Riverside, CA 92505-1909 - Phone
- (951) 343-1082
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 100945 | CA | Primary |
Addresses
Primary practice location
10403 Magnolia Ave
Ste. a
Riverside, CA 92505-1909
Mailing address
10403 Magnolia Ave
Ste. a
Riverside, CA 92505-1909
Phone (951) 343-1082
Other names 1
- Discount Medical (Dba)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100945 | CA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1851572952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10403 MAGNOLIA AVE",
"address_2": "STE. A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051909",
"telephone_number": "951-343-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10403 MAGNOLIA AVE",
"address_2": "STE. A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051909",
"telephone_number": "951-343-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALIKAR",
"first_name": "MOHTASHAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "100945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DISCOUNT MEDICAL",
"last_name": "(DBA)",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.